Chest Tubes

Running head : CHEST TUBES

Chest Tubes

Student Name

Place

January 26 , 2007

Abstract

This brief article starts with the explanation of a Chest Tube followed by insertion and explanation of various chambers and Water Seal

Chest Tubes

According to the University of Iowa ‘s Virtual Hospital (2004 , Chest tubes are long , semi stiff , clear plastic tubes inserted into the chest for drain collection of fluids or air from the inter-pleural space . A lung compressed which may be compressed due to such collections can later re-expand . Chest tubes [banner_entry_middle]

may be inserted at the fourth or fifth intercostal space on the mid-axillary line , i .e , close to the level of a line transducer ( see Annexure 1 for Chest tube positioning and insertion

According to Buffalo University , Chest tube can be inserted with the help of a Kelly clamp after incising the chest and the Kelly clamp removed . If the tube is of trocar variety , the tube is gently pushed in the pleura and the trocar removed as soon as possible ( see the Annexure 1

According to Nandi , air or fluid from the pleural space can be evacuated by connecting the chest drain to a glass straw immersed under saline contained in a bottle thus the expiration forces air and fluid into the bottle avoiding the reentry of air or fluid into the submerged tube

University of Iowa ‘s Virtual Hospital (2004 ) stated that , a single chamber set up could be used if the drain contains only air , but if the drain contains fluid also then a multiple bottle setup is used . While the first bottle is used a collection chamber containing fluid (blood or serous fluid from the patient , the second bottle is an air trap and the third bottle is used to gently suck and drain out both the fluid and air . The suction is regulated by the depth of tube in the water . Water seal ‘ is the disconnection of wall suction line from pleurevac (the setup mentioned above is collectively called pleurevac , when the air /fluid draining is assumed to have been completed

Annexure 1

Chest Tube Positioning (Source : cssolutions .biz

Chest Tube Insertion (Source : cssolutions .biz

Insertion using a Kelly clamp Insertion of chest tube with trocar (Source Buffalo University (Source Buffalo University

Arrangement of under water seal and the set up (Source cssolutions .biz

References

Chest Tubes . University of Iowa ‘s Virtual Hospital (2004 . Page retrieved on January 20 , 2007 from : HYPERLINK “http /www .icufaqs .org /ChestTubes .doc http /www .icufaqs .org /ChestTubes .doc

CHEST TUBE AND FUHRMAN CATHETER INSERTION . Buffalo University . Page retrieved on January 19 , 2007 from : HYPERLINK “http /apps .med .buffalo .edu /procedures /chesttube .asp ?p 7 http /apps .med .buffalo .edu /procedures /chesttube .asp ?p 7

Nandi

. Chest Tubes and Water Seal Drainage . University Department of Surgery , Queen Mary Hospital . Page retrieved on January 21 , 2007 from HYPERLINK “http /sunzi1 .lib .hku .hk /hkjo /view /20 /2000122 .pdf http /sunzi1 .lib .hku .hk /hkjo /view /20 /2000122 .pdf

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